Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $36.35 / $199.91	Professional		$34.85	$36.35	$199.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.23 / $44.23 / $44.23	Facility		$44.23	$44.23	$44.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $37.60 / $44.23	Professional		$37.60	$37.60	$44.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.65 / $130.32 / $170.00	Professional		$53.65	$130.32	$170.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.35 / $67.06 / $130.63	Facility		$36.35	$67.06	$130.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.73 / $65.09 / $77.45	Professional		$54.73	$65.09	$77.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.06 / $73.81 / $81.31	Facility		$67.06	$73.81	$81.31
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $60.35 / $67.06 / $75.30	Professional		$60.35	$67.06	$75.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.35 / $67.06 / $106.77	Facility		$36.35	$67.06	$106.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $65.18 / $78.12	Professional		$37.60	$65.18	$78.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $56.75 / $115.22 / $251.65	Facility		$56.75	$115.22	$251.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $73.77 / $82.36	Professional		$57.67	$73.77	$82.36
United Facility/Professional Facility Modifier Low / Median / High Price $44.31 / $44.31 / $44.31	Facility		$44.31	$44.31	$44.31
United Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $34.78 / $61.98	Professional		$32.20	$34.78	$61.98